Page 1 of 14

https://apsbtet.ap.gov.in e-mail: [email protected]

STATE BOARD OF TECHNICAL EDUCATION AND TRAINING

ANDHRA PRADESH:: MANGALAGIRI
4th FLOOR, GARUDADRI, K.K. TOWERS, NEAR LAKSHMI NARASIMHA COLONY, MANGALAGIRI-522503

APPLICATION
RENEWAL OF AFFILIATION FOR THE ACADEMIC YEAR 2024-2025
DIPLOMA COURSES IN ENGINEERING & TECHNOLOGY

1. GENERAL INFORMATION:

1. Polytechnic Code:

Name of the Institution:

Complete Postal address with PIN code

District
Mandal
STD code
Telephone No.
Mobile No.
e-mail ID
2. Institute Management Type: Government /
Autonomous / Aided / Private-Unaided
3. Year of Establishment
4. Society Reg. No., Date
5. Society Name
6. Secretary / Correspondent Name
7. Minority Status YES/ NO
8. Institute Type: WOMENS / CO-EDUCATION
9. Date of Inspection:

SIGNATURE OF PRINCIPAL / CORRESPONDENT

(WITH SEAL)
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10. Inspection fee Rs.40,000/- + GST paid vide RTGS

No. and Date:
(Enclose proof)
11. Name of the Principal:

Qualification:

Date of Joining in the Present institute:

Total Experience:

Institute Telephone No.:

Principal Mobile No.:

e-mail ID:
12. Affiliation Fee details of Previous Academic
Year:
Amount paid Rs.
Date of payment:
Name of the Bank and Branch:
(enclose the receipts for last 3 years)
13. Institute Present Running Status Functioning / Not-functioning
14. Court Cases in which CTE/ Govt/ AICTE/
YES / NO
SBTET is Respondent
15. Institute AICTE Permanent ID

16. Institute AISHE Code

17. Institute PAN number
18. Institute TAN number
19. Distance between the EDEP location and
Principal’s room
20. No. of Xerox machines/Printers available, and
specifications
21. No. of Computers used for EDEP work

22. Internet service provider’s name and Internet

speed
23. Static IP address

24. Year of Construction of Institute Buildings

25. Buildings’ structurally sound certificate is

YES / NO
enclosed for the buildings of 30 years old.

SIGNATURE OF PRINCIPAL / CORRESPONDENT

(WITH SEAL)
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Approved Total
SBTET
Seats for No. of Dropou AICTE
Full Affiliation
which Admissio ts/ No. of approval
Present Name of Letter No.
Sl. ns Left- Students No. of letter No. and
Courses the admission and Remarks
No. includin over on Sections date
(Branches) Course conducted Date
(Branch) g Spot- vacanci ROLLS (Enclose EOA (Enclose
(Enclose copy
Admissio es copy) copy)
of G.O.)
ns
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
x.

(WITH SEAL)
2. Details of Courses (Branches) offered in Current Academic Year: 2023-24.

SIGNATURE OF PRINCIPAL / CORRESPONDENT

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3. STAFF DATA:
Course (Branch) wise staff data as per proforma given below: (Service registers to be produced
before inspection committee)
PLEASE PROVIDE SEPARATE TABLE FOR EACH COURSE (BRANCH)
Name of Course (Branch):
Sl Regular/ ad hoc/ Pay Total
Name of Staff member Designation Qualification Remarks
No. contractual Scale Service

4. STAFF / ESTABLISHMENT:
Total No.
Required As Total No. Required Existing
Shortfall
per NBA / Available SFR SFR
AICTE
(Nreq) (Navl) - - (Nreq - Navl)

5. LIBRARY BOOKS AND PERIODICALS:

No. No. Required
Description Shortage
Available as per AICTE
Total No. of Titles
Total No. of Volumes
Total No. of Books purchased in the current
academic year ………………...
Total No. of Journals subscribed
Total No. of Books issued to the students
Total No. of Magazines and News papers

6. DIGITAL LIBRARY:
No. No. Required
Description Shortage
Available as per AICTE
Total No. of Computers
Total No. of Digital Books
Internet Facility Available for all computers Yes / No
Printer / Photo-Copier Facility Available Yes / No
NDL Registration Done Yes / No
MOOCS/ SWAYAM access to students Available Yes / No

SIGNATURE OF PRINCIPAL / CORRESPONDENT

(WITH SEAL)
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7. Details of Class rooms/Laboratories/workshops in the Institute Campus (Branch wise):

(PLEASE PROVIDE COURSE (BRANCH) WISE TABLES)
Course (Branch): …………………………
S. Required Available Shortage
Rooms Required Available
No. Area in Area in
number number
m2 m2
Area in Rooms
m2 Number
1. Class rooms
2. Drawing Halls
3 Virtual class rooms
4. Digital class rooms
6. Laboratories

8. DETAILS OF COMMON FACILITIES IN THE INSTITUTE CAMPUS:

Requi Shortage
Require Availabl
S. red Available
Rooms d Area e Area
No. numb number
in m2 in m2 Area2 in Rooms
er m Number
1. Works shops
a) Carpentry
b) Fitting shop
c) Welding & sheet metal shop
d) Smithyshop.
e) Foundry shop
f) Turning shop
g) Machine shop
2. Common Laboratories
Physics
Chemistry
Computer Center
Communication Skills Lab
3. Auditorium
4. Library including Digital Library
5. Girls waiting hall
6. Boys waiting hall
7. Toilets (Boys)
8. Toilets (Girls)
9. Hostel (Boys)
10. Hostel (Girls)

SIGNATURE OF PRINCIPAL / CORRESPONDENT

(WITH SEAL)
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9. DETAILS OF ADMINISTRATIVE AREA IN THE INSTITUTE CAMPUS:

Required Available Shortage

S. Required Available
Rooms Area in Area in Area in Rooms
No. number number
m2 m2 m2 Number
1 Principal room
2 Board room
3 Reception Lounge
4 HOD rooms (One
room for each)
5. Staff rooms
6 Main Office
7 Institute Record room

10. PAYMENTS MADE IN THE CURRENT ACADEMIC YEAR:

S. Amount
For For For Name of the Bank,
No. Description I YEAR II YEAR III YEAR paid/
STUDENTS STUDENTS STUDENTS Transferr
Branch and Date
ed of Payment
1. Admission fee
2. BRF
3. IPSGM
4. POLYTECH fest
5. MIS
Subscription for
6. Department Journal

11. INDUSTRY CONNECT FOR THE CURRENT ACADEMIC YEAR:

Sending
Offered Conducted
Signed Students for Offered
Description placements Industrial
MOUs Industrial CSR funds
to students Visits
Training
No. of Industries

SIGNATURE OF PRINCIPAL / CORRESPONDENT

(WITH SEAL)
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12. CERTIFICATE OF UNDERTAKING:

This is to certify that the information submitted in this application is true to my knowledge,
for any false information I undertake to accept the disciplinary action initiated by SBTET, AP.

It is also certified that the Institute principal / management has taken utmost care in choosing
industries for sending the students for Industrial Training. It is assured that the following type of
industries are not chosen for student industrial training:

(i) Industries where there are no activities,

(ii) Commercial training centers were established for issuing project work reports.
(iii) Third party agencies/training centers/Manpower staffing companies.

SIGNATURE OF PRINCIPAL / CORRESPONDENT

(WITH SEAL)

VERIFICATION REPORT BY INSPECTION TEAM

The Inspection Team appointed by SBTET, A.P., has physically verified the details and records as
per the application submitted by the institute to obtain EOA from the AICTE for the Academic Year
2024-2025.

Name, Designation and Signatures of the Inspection Team :

1.

2.

3.
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https://apsbtet.ap.gov.in e-mail: [email protected]

STATE BOARD OF TECHNICAL EDUCATION AND TRAINING

ANDHRA PRADESH:: MANGALAGIRI
4th FLOOR, GARUDADRI, K.K. TOWERS, NEAR LAKSHMI NARASIMHA COLONY, MANGALAGIRI-522503

FOR OFFICE USE of SBTET, A.P., INSPECTION TEAM ONLY

13. INSPECTION COMMITTEE REPORT

a) Student Faculty Ratio (SFR):

EXISTING FOR SUFFICIENT
BRANCH IN-TAKE YES / NO

This application is only for Renewal of Affiliation for the Existing branches.
Not for New branches or Variation in in-take.

b) 7-Periods Class-wise Attendance registers: MAINTAINED / NOT MAINTAINED

c) Unit test marks registers: MAINTAINED / NOT MAINTAINED

d) Experiment-wise sessional marks registers: MAINTAINED / NOT MAINTAINED

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e) Academic Audit Registers/ Data:

FOR MAINTAINED
BRANCH YES/ NO

f) Remedial Class registers maintained:

FOR MAINTAINED
BRANCH YES/ NO

g) Student Attendance uploading properly: YES / NO

h) Unit test marks uploading properly: YES / NO

i) Faculty log-books are up to date: YES / NO

j) Class-wise log-books maintained: MAINTAINED / NOT MAINTAINED

k) CCTV cameras fitted in all class-rooms: YES / NO

l) Fire safety measures in the campus and labs: SUFFICIENT / NOT SUFFICIENT

m) Static IP available for EDEP system: YES / NO

n) Board Examination Cash book up to date: YES / NO

o) Board examination stationery registers: YES / NO

p) Library books purchased in the current year: YES / NO

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q) Lab consumables purchased in the current year: YES / NO

r) All experiments conducted as per syllabus:

FOR CONDUCTED
BRANCH YES/ NO

Total No. of Total No. of

Total No. of
Laboratory Laboratories with
Laboratories
Sl. Subjects sufficient equipment to
No. BRANCH with
(including 1st yr conduct 100%
INSUFFICIENT
and other experiments as per
equipment
semesters) syllabus
i.

ii.

iii.

iv.

v.

vi.

vii.

viii.

ix.

x.
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s) The DEFICIENIES marked in the previous academic year are COMPLIED: YES / NO

t) Students’ placement record is maintained & students are placed:

FOR MAINTAINED
BRANCH YES/ NO

u) Students’ Industrial Training arranged at Industries with good industrial activity:

FOR
YES/ NO
BRANCH

v) Commercial training centers/ Third party agencies/ /Man power staffing companies are not
chosen for students industrial training: YES / NO

w) Industrial training students are not retained in Polytechnics / Engineering colleges.

YES / NO
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14. INSTITUTE EXPLANATION ON THE DEFICIENCIES:

Sl.
Item No. Explanation
No.
1. 13 ( )

15. Committee Recommendations:

EXISTING FOR RECOMMENDED/

BRANCH INTAKE NOT RECOMMEDNED

This application is only for Renewal of Affiliation for the existing branches, not
for new branches or variation in in-take
The inspecting committee can reduce the in-take for an existing branch, for
having insufficient infrastructure, but shouldn’t ENHANCE the in-take AND/
OR Recommend for a NEW BRANCH .
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Committee can offer their specific CONFIDENTIAL remarks (if any) in this box:
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The Inspection Team appointed by SBTET, A.P has visited, inspected the __________________

____________________________ College/ Polytechnic with Institute Code: _______________ on

_____________________ ( Date) for the Extension of Affiliation (Renewal of Affiliation) for the

Academic Year 2024-2025.

Name, Designation and Signatures of the Inspection Team:

1.

2.

3.

Note:

1. The Inspection Team is instructed to physically verify the details and records as per the
application submitted by the institute and tally it with their AICTE application.

2. The team is requested to clearly record their observations by ticking/ writing the
appropriate choice and strike-off the other. That is only after physical verification of
records and details.

3. Additional sheets may be attached as ANNEXURE wherever required and Xerox copies of
supportingdocuments should be enclosed.
4. The committee should clearly give their recommendation by PUTTING the appropriate
choice and strike-off the other.

************